Organization Name: | JACKSON HEIGHTS MEDICAL CARE PC |
NPI Number: | 1003250762 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CARL A. NICHOLEAU (OWNER) |
Mailing Address: | 7535 31st Ave Suite 200 East Elmhurst |
State: | NY US |
Postal Code: | 113701857 |
Phone Number: | 7185656880 |
Fax Number: | 7185653102 |
NPI Enumeration Date: | 04/24/2013 |
NPI Last Update Date: | 04/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |